MEDICARE: MR. HOWARD GENE NORMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0970	AZ
2	208D00000X	General Practice Physician	32357	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891792974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOWARD GENE NORMAN DO

Provider Business Mailing Address
First Line	:	425 N CENTRAL AVE
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85323-1906
Country	:	US
Telephone Number	:	623-925-0361
Fax Number	:	623-932-3674

Provider Business Practice Location Address
First Line	:	425 N CENTRAL AVE
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85323-1906
Country	:	US
Telephone Number	:	623-925-0361
Fax Number	:	623-932-3674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. HOWARD GENE NORMAN DO” Practice Location

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